Thank you for using the Prehospital Care Order Form (pdf).
Please download the form, fill it out, print it and mail it to us.
Allow 4-6 weeks to process your order.
- All orders must be accompanied by a check or money order.
- All orders are still on a prepaid basis.
- Include a street address - UPS cannot deliver to a P.O. Box.
- Make checks payable to: Oregon Health Authority - EMS
- Mail completed form and payment to:
Oregon Health Authority - EMS
Business Services - 465
P.O. Box 14260
Portland, OR 97293-0260
If you have any questions, please contact us.